Stratifin Promotes Hepatocellular Carcinoma Progression by Modulating the Wnt/β-Catenin Pathway

Abnormal stratifin (SFN) expression is closely related to the progression of several human cancers, but the potential roles of SFN in hepatocellular carcinoma (HCC) remain largely unknown. In this study, we found that SFN was upregulated in HCC cell lines and tissues and was positively associated with tumor size, poor differentiation, Tumor Node Metastasis (TNM) stage, and vascular invasion. In addition, high expression levels of SFN were associated with poor overall survival and disease-free survival. Biologically, downregulation of SFN suppressed tumor cell proliferation, epithelial–mesenchymal transition (EMT), invasion, and migration in vitro and tumor growth in vivo. However, overexpression of SFN promoted cell proliferation, EMT, invasion, and migration in vitro and tumor growth in vivo. Mechanistically, overexpression of SFN activated the Wnt/β-catenin pathway by promoting Glycogen synthase kinase-3 beta (GSK-3β) phosphorylation, decreasing β-catenin phosphorylation, promoting β-catenin transport into the nucleus, and enhancing the expression of c-Myc, whereas depletion of SFN inhibited the Wnt/β-catenin pathway. In addition, TOPFlash/FOPFlash reporter assays showed that overexpression or downregulation of SFN obviously increased or decreased, respectively, the activity of the Wnt/β-catenin pathway. Our results indicated that SFN plays an important role in HCC, possibly providing a prognostic factor and therapeutic target for HCC.


Introduction
Liver cancer is the sixth most common cancer and the fourth leading cause of cancer-related death worldwide [1,2]. Hepatocellular carcinoma (HCC) accounts for 75-85% of primary liver cancers, leading to nearly 745,000 patient deaths worldwide annually and constituting a serious threat to public health [2,3]. The incidence of HCC is regionally heterogeneous, and approximately 85% of HCC cases are estimated to occur in developing or less developed countries, among which 72% occur in Asia and more than 50% occur in China, resulting in a heavy economic burden on China and Chinese society [2,4]. Unfortunately, most HCC patients have advanced-stage disease when diagnosed, and the incidence-to-mortality ratio is close to 100% [5]. One important reason is the high recurrence and metastasis rates [6]. Epithelial-mesenchymal transition (EMT) is an important process in tumor progression [7]. Currently, an increasing number of studies have indicated that the abnormal expression of genes is closely correlated with the progression of HCC, but the specific functions of most of these genes are still unclear [8].
Stratifin (SFN) is a checkpoint protein of the cell cycle and a regulatory factor of nuclear mitosis [9]. SFN is closely related to many cellular processes, especially the regulation of the cell cycle and signal transduction [10]. Moreover, SFN is an important regulatory protein that has been proven to have an impact on inflammatory processes [11]. Overexpression of SFN has been reported in many human tumors, such as ovarian cancer [12], breast cancer [13], lung cancer [9], and HCC [14]. However, the downregulation of SFN has also been observed in gliomas [10], the nervous system [15], and the reproductive system [15]. Hu et al. reported that upregulation of SFN was associated with a worse prognosis in ovarian cancer [12]. Deng et al. indicated that SFN was an independent risk factor for prognosis in patients with glioma [10]. Recently, several studies reported that SFN was upregulated in HCC [14,16,17]. However, the biological roles of SFN in HCC remain largely unknown, and its function in the process of EMT is still unclear.
In this study, we explored the role of SFN in HCC and found that SFN was upregulated in HCC tissues and cell lines. The expression of SFN was positively associated with large tumor size, poor differentiation, advanced Tumor Node Metastasis (TNM) stage, vascular invasion, and poor prognosis in HCC. We also found that SFN promotes the proliferation, migration, invasion, EMT, and tumorigenesis of HCC cells. Mechanistically, SFN activates the Wnt/βcatenin signaling pathway. Our results indicate the role and potential mechanism of SFN in HCC, possibly providing a therapeutic target and prognostic marker for HCC. A preprint of this manuscript has previously been published on the Research Square online platform [18].

Patients, Clinical Samples, and Follow-Up.
A total of 34 pairs of HCC tissues and adjacent nontumor tissues were obtained from HCC patients in the Department of General Surgery of the First Affiliated Hospital of Nanchang University. All of the patients underwent radical resection between October 2017 and January 2018. The fresh specimens were stored in liquid nitrogen. The clinical data were collected from electronic medical records, and the survival information was obtained by follow-up. None of the patients received any adjuvant therapy before surgery and signed a written informed consent form. Our study was conducted in compliance with the Declaration of Helsinki and was approved by the institutional review of The First Affiliated Hospital of Nanchang University.

Cell Lines and
Cultures. The HCC cell lines MHCC-97H and MHCC-97L were obtained from the Liver Cancer Institute of Fudan University (Shanghai, China). The HCC cell lines Huh7, SMMC-7721, HepG2, and the normal liver cell line L02 were obtained from the Chinese Academy of Sciences (Shanghai, China). All cells were cultured in Dulbecco's modified Eagle's medium (DMEM, Gibco, USA) containing 10% fetal bovine serum (FBS, Gibco), 100 U/ml penicillin, and 100 μg/ml streptomycin (Gibco). All cells were placed in a humidified incubator with 5% CO 2 and at 37°C.

RNA Extraction and Quantitative
Real-Time PCR. Total RNA was obtained from the cultured cells or fresh-frozen tissues by using TRIzol Reagent (Invitrogen, USA) and was reverse transcribed into cDNA by using the PrimeScript RT Reagent Kit with gDNA Eraser (Takara, Japan) by the manufacturer's instructions. Quantitative real-time polymerase chain reaction (RT-qPCR) was performed in a Ste-pOnePlus™ Real-Time PCR System (Applied Biosystems, USA) by using the TB Green® Premix Ex Taq™ II (Tli RnaseH Plus) Kit (Takara, Japan). β-Actin was used as an internal control. All gene expression levels were calculated by the 2 −△△CT method. The primers used in the current study were as follows: SFN: forward primer: 5 ′ -TGACGACAA GAAGCGCATCAT-3 ′ , reverse primer: 5 ′ -GTAGTGGAA GACGGAAAAGTTCA-3 ′ .
2.4. Establishment of Overexpressing and Knockdown HCC Cells. The knockdown and ectopic expression lentiviruses for SFN and the corresponding control lentivirus were synthesized by HanBio (Shanghai, China). The full-length human SFN cDNA sequence was inserted into the pHBLV-U6-MCS-CMV-ZsGreen-PGK-PURO retroviral vector to generate the pHBLV-SFN vector (named SFN), and the empty vector was considered the negative control vector (named Vector). Two shRNA oligonucleotide sequences against SFN were inserted separately into the retroviral vector to generate the pHBLV-shSFN vectors (names shSFN#1 and shSFN#2). The shRNA sequences were as follows: shSFN#1, 5 ′ -GACGACAAGAA GCGCATCATT-3 ′ ; and shSFN#2, 5 ′ -GCTCTCAGTAGCCT ATAAGAA-3 ′ . The scramble shRNA sequence was inserted into the vector, and the resulting construct was considered the shRNA negative control vector (named shNC). Transfection of cell lines was performed according to the manufacturer's protocol. In brief, 1 × 10 5 MHCC-97H or SMMC-7721 cells were seeded in 6-well plates in DMEM with 10% FBS. The cells were transfected when the cell confluence was approximately 60%. The medium was replaced with 1 ml of fresh medium with 20 μl of lentivirus solution. After 4 hours, another 1 ml of fresh medium was added to each well. The medium was replaced after 24 hours. The stably transfected cell lines were selected by puromycin at a final concentration of 2 μg/ml. The efficiency of transfection was verified by RT-qPCR and western blotting (WB).
2.5. Cell Proliferation Assay. Cell proliferation assays were conducted using a Cell Counting Kit-8 (CCK-8; Dojindo, Japan) according to the manufacturer's protocol. Briefly, 5 × 10 3 MHCC-97H or SMMC-7721 cells were seeded into 96-well plates after stable transduction with lentiviral vectors for 48 hours, with 5 wells established per group. Then, at 0, 24, 48, 72, and 96 hours, 10 μL CCK-8 reagent mixed with 100 μL culture medium was added to each well, and the plates were incubated in an incubator for 2 hours. Finally, a multimode plate reader (TECAN SPARK 10M, Switzerland) was used to measure the absorbance at 450 nm.
2.6. Colony Formation Assay. Transduced cells (1000 cells/ well in the SFN overexpressing group and 500 cells/well in the SFN knockdown group) were plated in 6-well plates, and then the medium was replaced every five days. After two weeks, the cells were fixed with 4% paraformaldehyde and stained with 1% crystal violet. Then, the 6-well plates were washed with running water. The cell colonies were counted in the images.

Wound Healing Assay.
After transduction for 48 hours, MHCC-97H or SMMC-7721 cells were seeded into 6-well plates. When the cells were 95% confluence, a scratch wound 2 International Journal of Genomics was made with a 200 μL pipette tip by drawing a line on the surface of the cells in each well of 6-well plates. Images of wound healing at 0 and 24 hours were photographed using a microscope (10×) in each well.  The limma package (R) was used to analyze the expression of SFN in tumor and nontumor tissues [20]. Regarding Gene Expression Omnibus (GEO) datasets (https://www.ncbi.nlm.nih.gov/geo/), we downloaded ten microarray expression profiles (GSE: 14520, 25097, 45114, 45436, 55092, 57555, 60502, 76427, 77314, and 101728) containing data for HCC tissues and nontumor tissues. Except for the difference in SFN expression in GSE77314, which was directly calculated from the XLSX data downloaded from GEO datasets, the difference in SFN expression between tumor and nontumor tissues in the other GEO series was determined by the Limma package (R) [20].

Migration and Invasion Assays (Transwell
In the Oncomine database (https://www.oncomine.org/), four studies were comparing SFN expression between HCC and normal samples. We comprehensively analyzed the data in these four studies with the following thresholds: P value ≤1 × 10 −4 , fold change ≥2, and gene rank in the top 10%.
Immunohistochemical images were used to assess the difference in SFN protein expression between HCC tumors and normal liver tissues in The Human Protein Atlas (HPA) database (https://www.proteinatlas.org/). International Journal of Genomics with HCC, we conducted survival analysis and univariate and multivariate analyses. Univariate and multivariate Cox regression analyses and overall survival (OS) analyses were performed by the "survival" and "survminer" packages (https://cran.r-project.org/web/packages/) based on the R language. Data downloaded from the Kaplan-Meier plotter database (http://kmplot.com/analysis/) were used for survival analysis [21]. The OS time was defined as the time from surgery to death from any cause. The disease-free survival (DFS) time was defined as the time from surgery to death from any cause or the first relapse. The disease-specific survival (DSS) time was defined as the time from surgery to death from HCC. The recurrence-free survival (RFS) time was defined as the time from surgery to death with evidence of recurrence or the first relapse. THE GraphPad Prism software (version 7) was used to plot survival curves.
2.14. Statistical Analysis. The statistical analyses of the data in this study were performed using the SPSS 22.0 software and the GraphPad Prism 7. The Mann-Whitney U test, Student's t test or chi-square test, and Spearman's rank analysis were performed according to the type of variable. A two-tailed P value of <0.05 was considered statistically significant.

SFN Is Highly Expressed in Human HCC Cell Lines and
Tissues. To determine the expression level of SFN in HCC, we first analyzed data from the TCGA database and found that the expression level of SFN in HCC tissues was higher than that in nontumor tissues (Figure 1(a)). Furthermore, we explored SFN expression in HCC in the Oncomine database. As shown in Figures 1(b), 1(c), 1(d), and 1(e), the SFN gene was overexpressed in HCC tissues in the Wurmbach Liver dataset, Mas Liver dataset, Roessler Liver 2 dataset, and Roessler Liver dataset compared with nontumor tissues. We further conducted a meta-analysis of the above four datasets in the Oncomine database and found that SFN was also overexpressed in HCC tissues compared with nontumor tissues (Supplement Figure 1A). In addition, we searched the GEO database and found that SFN expression was upregulated in ten GEO series compared with nontumor tissues (Supplement Figures 1B, 1C, 1D, 1E, 1F, 1G, 1H, 1I, and 1K).
To further confirm the level of SFN expression, we determined the expression level of SFN in HCC cell lines and normal L02 cells. As expected, both the mRNA and protein expression of SFN were upregulated in all HCC cell lines compared with L02 cells (Figures 1(f) and 1(h)). Furthermore, we examined the SFN mRNA and protein levels in fresh clinical HCC tissues. The HCC tissues had higher mRNA and protein expression levels of SFN than the adjacent nontumor tissues (Figures 1(g), 1(h), and 1(i)). Moreover, we explored the protein expression of SFN in the HPA based on immunohistochemistry. Consistent with the results of the clinical fresh HCC tissues from our center, SFN protein expression was also upregulated in HCC tissues in the HPA (Figure 1(j)). Based on these results, we concluded that SFN was significantly upregulated in human HCC cell lines and tissues.

SFN Was Closely Associated with Aggressive Clinicopathological Features and Poor Prognosis in HCC
Patients. To further study the clinicopathological significance of SFN, we analyzed the correlation between SFN expression and clinicopathological characteristics in 34 HCC patients from our hospital. Patients were divided into high and low SFN expression groups based on the median expression level of SFN mRNA. SFN expression was associated with tumor size, degree of differentiation, TNM stage, and vascular invasion (P < 0:05; Table 1).
To evaluate the prognostic value of SFN in HCC patients, we compared the differences in OS and DFS between 34 HCC patients in the high and low SFN groups. As expected, the high SFN group exhibited worse 3-year OS and DFS outcomes than the low SFN group (P < 0:05; Figures 2(a) and 2(b)). We further performed survival analysis using the Kaplan-Meier plotter online database. The results indicated that SFN overexpression in HCC tumors was significantly associated with worse OS, progressionfree survival (PFS), relapse-free survival (RFS), and DFS in HCC patients (all log-rank P < 0:05; Figures 2(c), 2(d), 2(e), and 2(f)).
Furthermore, the clinicopathological data of 374 patients with HCC obtained from TCGA were used to evaluate the prognostic value of SFN in HCC by univariate and multivariate analyses. Due to the incompleteness of the clinicopathological data for many patients, we selected some common features (age, sex, tumor grade, and TNM stage) for further analysis and excluded unavailable data, including unknown, missing, Tx, Nx, and Mx data. Finally, 212 HCC patients were enrolled in this study. The univariate analysis indicated that TNM stage, T stage, M stage, and SFN expression level were significantly associated with OS (P = 6:71 × 10 −7 , 5:65 × 10 −7 , 0.0227, and 3:02 × 10 −6 , respectively, Table 2). As shown in Table 2, multivariate analysis indicated that SFN expression was an independent prognostic factor for OS (P = 0:0005).
In conclusion, our results suggested that SFN expression was closely associated with aggressive clinicopathological features and poor prognosis in HCC patients.  32  31  30  29  28  27  26  25  24  23  22  21  20  19  18  17  16  15  14  13  12  11  10  09  08  07  06  05  04  03  02  01 Non-tumor  (Figures 3(e) and 3(f)). Similarly, the transwell assays showed that SFN depletion significantly decreased but SFN overexpression increased the migration and invasion abilities of HCC cells compared with control cells (Figures 3(g)  and 3(h)). Furthermore, CCK-8 and colony formation assays were used to explore the proliferative capacity of two cell lines. We found that SFN knockdown inhibited colony formation and proliferation (Figures 3(i) and 3(k)). Conversely, overexpression of SFN promoted colony formation and proliferation (Figures 3(j) and 3(l)). Importantly, we evaluated the effect of SFN on tumor growth in vivo. In line with our results in vitro, we found that SMMC-7721-Lv-SFN cells exhibited an enhanced tumorigenic capacity compared with that of SMMC-7721-control cells. The MHCC-97H-Lv-shSFN cells exhibited a significantly reduced tumorigenic capacity (Figure 3(m)). The tumor weights in mice implanted with MHCC-97H-Lv-shSFN cells were significantly lower than those in mice implanted with MHCC-97H-control cells ( Figure 3(n)), while the tumor weights in mice implanted with SMMC-7721-Lv-SFN cells were markedly higher than those in mice implanted with SMMC-7721-control cells (Figure 3(o)).
Taken together, these data demonstrated that SFN promoted HCC cell proliferation, migration, and invasion in vitro and tumor growth in vivo.

SFN Induces EMT and Activates Wnt/β-Catenin
Signaling. EMT is an important process in tumor progression and is closely related to the processes of invasion and migration [22]. To further explore the mechanism of SFN in HCC progression, we examined the markers of EMT. We found that the ectopic expression of SFN in SMMC-7721 cells resulted in increased expression of N-cadherin and vimentin (mesenchymal markers) and decreased expression of E-cadherin (an epithelial marker), whereas SFN knockdown in MHCC-97H cells led to the opposite effects, as shown by WB (Figures 4(a) and 4(b)). In addition, we analyzed the changing trend in the expression of Snail,  4(b)). MMP2 and MMP9, members of the matrix metalloproteinase family, are closely associated with cell proliferation [24]. We evaluated MMP2 and MMP9 expression and found that MMP-2 and MMP-9 were upregulated in SFNoverexpressing cells and downregulated in SFN knockdown cells (Figures 4(a) and 4(b)). Wnt/β-catenin signaling is a crucial pathway for HCC progression [25]. Therefore, we speculated that SFN may activate Wnt/β-catenin signaling to promote HCC progression. To verify this hypothesis, we explored the role of SFN in the expression of key markers of the Wnt/β-catenin signaling pathway, such as β-catenin and GSK-3β [25,26].
β-Catenin is a key member of the Wnt/β-catenin signaling pathway and plays an important role in tumor progression [25]. In SFN-depleted MHCC-97H cells, we observed that β-catenin was downregulated (Figure 4(c)), whereas we observed that β-catenin was upregulated in SFNoverexpressing SMCC-7721 cells (Figure 4(d)). The active form of β-catenin is non-p-β-catenin, and its protein level reflects the activity of the signaling pathway [26]. The results from WB analysis indicated that downregulation of SFN could decrease the level of non-p-β-catenin protein in MHCC-97H cells (Figure 4(c)), whereas overexpression of SFN could increase the level of non-p-βcatenin protein in SMCC-7721 cells (Figure 4(d)). GSK-3β is another important component of Wnt/β-catenin signaling, participating in the degradation of β-catenin [27]. The results indicated that downregulation of SFN enhanced the expression of GSK-3β (Figure 4(c)) and that overexpression of SFN decreased the level of GSK-3β (Figure 4(d)). Once GSK-3β is phosphorylated at Ser9, its function in the degradation of β-catenin is compromised [28]. As shown in Figures 4(c) and 4(d), downregulation of SFN decreased the level of p-GSK-3β (Ser9) protein, but overexpression of SFN showed the opposite effect. Translocation of β-catenin into the nucleus is the best biomarker for activation of Wnt/β-catenin signaling [29]. We also evaluated the protein expression levels of β-catenin in the nucleus and found that SFN overexpression promoted β-catenin accumulation in the nucleus and that SFN knockdown exerted the opposite effect (Figures 4(e) and 4(f)). Moreover, nuclear translocation of β-catenin enhanced the expression of c-Myc [30]. The data derived from WB analyses indicated that the changing trend in c-Myc expression was positively correlated with the nuclear transcription of β-catenin (Figures 4(c), 4(d), 4(e), and 4(f)). In addition, we found that AXIN2 expression was down-regulated in SFN-overexpressing cells and up-regulated in SFN-silenced cells (Figures 4(c) and 4(d)).
Additionally, we used a TOP/FOPFlash assay to further confirm the activity of Wnt/β-catenin signaling. The TOP/ FOPFlash reporter assay indicated that downregulation or overexpression of SFN obviously enhanced or suppressed, respectively, the activity of Wnt/β-catenin signaling (Figures 4(g) and 4(h)). Taken together, the above results indicated that SFN induces EMT and activates Wnt/β-catenin signaling.
To support the hypothesis that SFN affects the biological behavior of HCC cells by activating Wnt/β-catenin signaling, we further verified this hypothesis by treating SFNoverexpressing cells (SMMC-7721-Lv-SFN) with the Wnt signaling pathway-specific antagonist XAV-939. As shown in Supplemental Figure 2A, XAV-939 significantly inhibited the activity of the Wnt signaling pathway. The results indicated that the change trends in the levels of EMT-related markers were reversed by XAV-939 treatment in SFNoverexpressing cells (Supplement Figure 2B). Moreover, we found that the effects of SFN overexpression on the cell migration and invasion abilities were also reversed by XAV-939 treatment in SFN-overexpressing cells (Supplement Figure 2C).

Discussion
In the current study, we found that the expression of SFN is increased in HCC and significantly related to aggressive clinicopathological features and worse survival of patients with HCC. Moreover, our results indicate that SFN plays important roles in HCC proliferation, migration, invasion, and tumor growth and induces EMT by activating Wnt/β-catenin  International Journal of Genomics signaling. Therefore, SFN may be a novel oncogene in HCC and is expected to be a therapeutic target and prognostic factor for HCC. SFN is a member of the conserved 14-3-3 protein family and plays important roles in various biological processes [31]. Overexpression of SFN has been reported in human malignant tumors. SFN is also a prognostic factor for many malignant tumors, such as ovarian cancer [12], glioma [10], and gallbladder cancer [32]. In our study, SFN was upregulated in HCC patients and associated with aggressive clinicopathological features. Moreover, we observed that patients with high SFN expression had worse survival outcomes than those with low SFN expression. We further validated these results in public databases. The TCGA, GEO, and Oncomine databases have greatly promoted cancer research because they contain large amounts of gene expression data and clinical data [33][34][35]. The gene expression data in the GEO database showed higher expression of SFN in HCC than in nontumor tissues. Our results were consistent with those of previous studies [36,37]. Moreover, we investigated the prognostic value of SFN expression by using the Kaplan-Meier plotter online database and found that SFN overexpression in HCC tumors was significantly associated with worse OS, PFS, RFS, and DSS outcomes in HCC patients. Our data suggested that SFN promoted a poor HCC prognosis. Previous studies have referred to the potential role of SFN in tumors [38,39].
SFN is closely correlated with the cell cycle, apoptosis, signal transduction, and protein trafficking [40]. Our results of functional experiments demonstrated that overexpression of SFN promoted HCC cell proliferation, migration, and invasion, whereas SFN knockdown in HCC cells resulted in the opposite effects. Our study also revealed that SFN could enhance tumor growth in vivo. EMT is vital in cancer development and progression [22]. EMT helps tumor cells acquire a mesenchymal phenotype and migration and invasion abilities [22]. Our results indicated that depletion of SFN suppressed but overexpression of SFN promoted EMT. Our data further enhance the understanding of the biological role of SFN in HCC progression.
In the current study, we further showed that SFN facilitated HCC cell proliferation, migration, invasion, tumor growth, and EMT by activating Wnt/β-catenin signaling.
Wnt/β-catenin signaling plays an important role in the progression of HCC [22]. Gsk-3β and β-catenin are key components of the Wnt/β-catenin signaling pathway [22,27]. Stable β-catenin expression plays a key role in the Wnt/βcatenin signaling output [25,26]. Our results showed that the protein levels of β-catenin, non-phospho (active)-β-catenin, and phospho-Gsk-3β (Ser9) in SFN-overexpressing cells were increased. Cells with SFN knockdown showed decreases in these levels. To further confirm the effect of SFN on the Wnt/βcatenin pathway, we examined the protein level of β-catenin in the nucleus and found that SFN overexpression promoted the accumulation of β-catenin in the nucleus and that SFN knockdown exhibited the opposite effect. c-Myc is a downstream molecule of the Wnt/β-catenin signaling pathway, and its expression increases when β-catenin is translocated into the nucleus [30]. Our results showed that the changing trend in c-Myc expression was positively correlated with the nuclear transcription of β-catenin (Figures 4(c), 4(d), 4(e), and 4(f)), which again showed that SFN can activate the WNT signaling pathway. Axin2 is an important scaffold protein in the canonical Wnt/β-catenin signaling pathway [41]. Our results showed that SFN overexpression and knockdown led to increased and decreased Axin2 expression, respectively. Moreover, we used the TOP/FOPFlash luciferase reporter assay to assess the activity of the Wnt/β-catenin signaling pathway. The results indicated that overexpression of SFN activates the Wnt/β-catenin signaling pathway, whereas knockdown of SFN inhibits the Wnt/βcatenin signaling pathway. In addition, we provided further support for the hypothesis that Wnt/β-catenin signaling is related to the mechanism, by which SFN promotes HCC progression. XAV-939, an inhibitor of Wnt/β-catenin signaling, was adopted to inhibit Wnt/β-catenin signaling in SFN-overexpressing cells [42]. Treatment with XAV-939 inhibited the activity of Wnt/ β-catenin signaling in SFN-overexpressing cells (Supplement Figure 1A). Consistent with the inhibition of Wnt/β-catenin signaling activity, treatment with XAV-939 led to the obvious abolishment of the process of EMT and a decreased ability of migration and invasion in SFN-overexpressing cells. Taken together, these results suggest that SFN can promote the progression of HCC by activating the Wnt/β-catenin signaling pathway. A previous study indicated that SFN can interact with Gsk-3β and inhibit Gsk-3β activity [43]. Our results also showed that the Gsk-3β catalytic activity in SFN-transfected   International Journal of Genomics 11 International Journal of Genomics cells was significantly lower than that in nontransfected cells. In line with the inhibition of catalytic activity, the phospho-Gsk-3β level was increased in SFN-overexpressing cells. Gsk-3β inactivation is controlled by its phosphorylation by the destruction complex [43]. Once Gsk-3β is phosphorylated and dissociated from the multiprotein destruction complex, β-catenin is released [43]. Thus, SFN regulates Gsk-3β and then activates the Wnt/β-catenin signaling pathway to promote the progression of HCC, which is the possible main mechanism revealed by the current research. However, this is just a preliminary exploration of SFN in HCC, and a more in-depth mechanism needs to be further investigated, especially its impact on the inflammatory process.

Conclusions
In conclusion, SFN is overexpressed in HCC tissues and cell lines, and SFN expression is correlated with tumor size, The weight and volume of the tumors in each xenografted mouse in the model. *P < 0:05, **P < 0:01, ***P < 0:001, and ****P < 0:0001. All data are from three independent experiments. 12 International Journal of Genomics 13 International Journal of Genomics differentiation, vascular invasion, and TNM stage. High expression of SFN was associated with worse survival outcomes. SFN promotes cell proliferation, migration, invasion, and tumor growth and may be an oncogene in HCC. Moreover, SFN induces EMT and activates the Wnt/β-catenin signaling pathway. The results of the current analysis may identify a prognostic factor and therapeutic target for HCC in the future.

Conflicts of Interest
The author(s) declare(s) that they have no conflicts of interest. 14 International Journal of Genomics